
<div class="modal fade" id="modal_form_subscribe" role="dialog" tabindex="-1" aria-hidden="true">
	<div class="modal-dialog">
		<div class="modal-content">
			<div class="modal-header">
				<button type="button" class="close" data-dismiss="modal">
					<span aria-hidden="true">&times;</span>
				</button>
				<h4 class="modal-title">Inscription</h4>
			</div>
			<div class="modal-body">
				<form class="form-horizontal" role="form" id="form_subscribe" method="post" action="">
					<div class="form-group">
						<label class="control-label col-sm-5" for="form_subscribe_mail">Mail</label>
						<div class="col-sm-7">
							<input class="form-control" id="form_subscribe_mail" type="email" placeholder="Adresse mail">
						</div>
				 	</div>
					<div class="form-group">
						<label class="control-label col-sm-5" for="form_subscribe_pseudo">Pseudo</label>
						<div class="col-sm-7">
							<input class="form-control" id="form_subscribe_pseudo" type="text" placeholder="Pseudo">
						</div>
				 	</div>
					<div class="form-group">
						<label class="control-label col-sm-5" for="form_subscribe_password">Mot de passe</label>
						<div class="col-sm-7">
							<input class="form-control" id="form_subscribe_password" type="password" placeholder="Mot de passe">
						</div>
				 	</div>
					<div class="form-group">
						<label class="control-label col-sm-5" for="form_subscribe_password_2">Confirmation du mot de passe</label>
						<div class="col-sm-7">
							<input class="form-control" id="form_subscribe_password_2" type="password" placeholder="Mot de passe">
						</div>
				 	</div>
				 	<div class="form-group">
				 		<div class="col-sm-offset-5 col-sm-7">
				 			<button class="btn btn-primary" type="submit">Inscription</button>
				 			<button class="btn btn-default" type="button" data-dismiss="modal">Annuler</button>
				 		</div>
				 	</div>
				 	<span class="help-block" id="form_subscribe_help"></span>
				</form>
			</div>
		</div>
	</div>
</div>